SGN2004-00231 CITY OF TIGARD SIGN PERMIT
I' DEVELOPMENT SERVICES PERMIT #: SGN2004 -00231
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/10/2004
PARCEL: 1 S136CD -01401
BUSINESS NAME: AMERICAN BOOT CO. ZONE: C -G
SIGN LOCATION: 11652 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: AMERICAN BOOT CO
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner. (8' x 3') Sign #1. Valid from 9/13/04 through
10/13/04.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be
placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from validity date. ,
APPROVED BY: 4. ek e �
PERMITTEE SIGNATURE: vt
DATE: 9/10/2004
�.,,,� 1, SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: ,C G P1 0100'1 - Oc-- �_3 i
Location 1165z 9.43 al 4c ft(,�/l/ 0 - I - - o
7 Expiration Date: t o4
Suite /Bldg. # City /State Zip
qrd 0 R, qrIZZ3 Receipt #: a 0 -i- —
Name Approved By: C C
/ Property 1J ('t S Pro (�4i es L.. �.C. Date: 9 -10-0 LA
,( Owner Mailing Address Suite Map/TL #: I S) 3 (o C b —0444
\ Z& ) Cedet fill (S cL 2 _I 2. Zoning: G (7
City /State Zip Phone
g✓-` _ og, q'(oo5
Electrical Permit Required? ❑Yes Xi No
x Tenant or Name
,4 e r'i CaY) boo 1 c o Building Permit Required? ❑Yes No
Business
Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Name
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all C. tate Zip Phone
licenses are
required if ❑ Completed Application Form
expires ' the Oregon Const. Cont. Board Exp. Date
C of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
.atabase) (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ 2 copies of elevations, drawn to scale
apply) ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: R , ( 3 / ❑ $32.00 Fee (Permanent sign, any size)
)(Total Sign Area (sq. ft.): ..24 ' ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City El Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S 0 W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but but must include dimensions of wall face and
Projection From Wall (inches): ,5-00 sign placement.
Copy: • Wall signs do not require site /plot plans.
- Materials: p, n yter • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: ❑ Internal ,3 External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes
,�No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
I hereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this day of , 20 O 4
Signatur f Owner /Ag t
5c nc(ra Poi rKS C.50) 6L0 --2z. 6 Z
Contact Person Name Phone No.
CITY OF TIGARD 9/10/2004
13125 SW Hall Blvd. 3:17:1OPM
44 m mit Tigard, Oregon 9 72 23
41...: (503) 63 9-4 17 1
Receipt #: 27200400000000004018
Date: 09/10/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00231 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2004 -00232 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2004 -00233 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $45.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check AMERICAN BOOT CO CAC 4425 In Person 45.00
Payment Total: $45.00
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Everything Must Go
Site Address: 11652 SW Pacific HWY
Tenant/Business Name: American Boot CO.
Sign Company: Sign Scope
13185 SW Pacific Hwy
Tigard, OR 97223
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